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Intermediate cervical plexus block for carotid endarterectomy in high risk patients

DINKO TONKOVIĆ ; Department of Anesthesiology, Reanimatology and Intensive Care Zagreb, Clinical Hospital Center Zagreb, Kišpatićeva 12, 10000 Zagreb, Croatia
DANIELA BANDIĆ PAVLOVIĆ ; Department of Anesthesiology, Reanimatology and Intensive Care Zagreb, Clinical Hospital Center Zagreb, Kišpatićeva 12, 10000 Zagreb, Croatia
SANJA SAKAN ; Department of Anesthesiology, Reanimatology and Intensive Care Zagreb, Clinical Hospital Center Zagreb, Kišpatićeva 12, 10000 Zagreb, Croatia
ROBERT BARONICA ; Department of Anesthesiology, Reanimatology and Intensive Care Zagreb, Clinical Hospital Center Zagreb, Kišpatićeva 12, 10000 Zagreb, Croatia
ŽELJKA MARTINOVIĆ ; Department of Anesthesiology, Reanimatology and Intensive Care Zagreb, Clinical Hospital Center Zagreb, Kišpatićeva 12, 10000 Zagreb, Croatia
ŽELJKO DRVAR ; Department of Anesthesiology, Reanimatology and Intensive Care Zagreb, Clinical Hospital Center Zagreb, Kišpatićeva 12, 10000 Zagreb, Croatia

Sažetak

Background and Purpose: Regional anesthesia is the choice for patients undergoing preventive open carotid surgery. Recently intermediate cervical plexus block has been described as a reliable and safe anesthesia technique in comparison with superficial and deep cervical plexus block. The aim of our study was to assess the complications of intermediate cervical plexus block in high risk patients.

Materials and Method: The study was performed in 29 ASA III and
ASA IV patients with the intermediate cervical plexus block for carotid
endarterectomy from January 2006 till November 2008 in the University Hospital Zagreb. The following data were collected: age, sex, ASA status and preoperative disease. Furthermore, intraoperative and postoperative complications associated with intermediate cervical plexus block and carotid
endarterectomy were recorded.

Results: Median age was 69 years (range, 46 – 82 years). One patient developed Horner’s syndrome, three patients developed transitory ischemic attack, one developed stroke intraoperatively and died, seven patients developed transitory hemodynamic instability, one was hypotensive in the postoperative period and required vasoactive support.

Conclusion: Intermediate cervical plexus block is safe and effective for carotid endarterectomy in high risk patients.

Ključne riječi

Hrčak ID:

38223

URI

https://hrcak.srce.hr/38223

Datum izdavanja:

15.6.2009.

Posjeta: 2.298 *